Gencare Spine and Pain PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GENCARE SPINE AND PAIN PLLC

Practice address

1101 Alma St Ste 106
Tomball, TX 77375-4559

Phone

(281) 636-6101

Fax

(281) 667-0910

NPI assigned

Jun 4, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lan Kelly Nguyen, MDNPI 1477632586

Title

President

Phone

(281) 636-6101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18242/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lan Kelly Nguyen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Tomball, TX
  • NPI 1477632586
  Medicare reassignment Care Compare group Authorized official
• Thuan Duc Dao, MD

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
  • NPI 1164778528
  Medicare reassignment Care Compare group NPD
• Thu Anh Hoang, MD

  • Family Medicine Physician
  • Spring, TX
  • NPI 1801821699
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1417449679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 WILSON RD STE 300",
            "address_2": "PMB 205",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961972",
            "telephone_number": "281-636-6101",
            "fax_number": "281-667-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ALMA ST STE 106",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754559",
            "telephone_number": "281-636-6101",
            "fax_number": "281-667-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5039 Fm 2920 Rd",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773883114",
            "country_code": "US",
            "telephone_number": "281-636-6101",
            "fax_number": "281-667-0910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "847 Cypress Creek Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770903427",
            "country_code": "US",
            "telephone_number": "281-636-6101",
            "fax_number": "281-667-0910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2255 E Mossy Oaks Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773891813",
            "country_code": "US",
            "telephone_number": "281-636-6101",
            "fax_number": "281-667-0910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENCARE SPINE AND PAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LAN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-636-6101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "740207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lissette Gatica
• Laxmi Gautam, NP-C
• Roxane K Gautreau, FNP
• Eric L Gebhart, DC
• James David Geer, DDS
• Genesis Anesthesia Partners PLLC
• Genesis Medical Diagnostics
• Genesis Urgent Care LLC
• Alicia Gentry, PA-C
• George J Murillo, M.D., P.a.

• Physical Medicine & Rehabilitation Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.